| Siu Physicians & Surgeons, Inc | |
|
701 N 1st St D235 Springfield IL 62781-0001 | |
| (217) 545-7578 | |
| (217) 545-1884 |
| Full Name | Siu Physicians & Surgeons, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 701 N 1st St, Springfield, Illinois |
| Authorized Official Name and Position | David Tkach (CEO) |
| Authorized Official Contact | 2175457578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siu Physicians & Surgeons, Inc Po Box 19639 Springfield IL 62794-9639 Ph: (217) 545-7578 | Siu Physicians & Surgeons, Inc 701 N 1st St D235 Springfield IL 62781-0001 Ph: (217) 545-7578 |
| NPI Number | 1093739435 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093739435 | NPI | - | NPPES |
| CB2589 | Other | IL | RR MEDICARE |
| CE8687 | Other | IL | RR MEDICARE |
| CE8689 | Other | IL | RR MEDICARE |
| CE8931 | Other | IL | RR MEDICARE |
| CE8686 | Other | IL | RR MEDICARE |
| CE8688 | Other | IL | RR MEDICARE |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 | |
Professional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 | |
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